Provider Demographics
NPI:1659189033
Name:MEADOWBROOK HOME CARE
Entity type:Organization
Organization Name:MEADOWBROOK HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-410-2460
Mailing Address - Street 1:1430 MEADOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1009
Mailing Address - Country:US
Mailing Address - Phone:215-410-2460
Mailing Address - Fax:215-572-1140
Practice Address - Street 1:1430 MEADOWBROOK RD
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-1009
Practice Address - Country:US
Practice Address - Phone:215-410-2460
Practice Address - Fax:215-572-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care